Individual provider Active NPI

Muhenad Samaan, D.M.D

  • Dentist
  • Londonderry, NH
National Provider Identifier
1487803300
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
03669 Issued in NH
Practice address
182 Rockingham Rd
# 13
Londonderry, NH 03053-2165
Phone
(603) 437-8204
Fax
(603) 432-6564
NPI assigned
Sep 16, 2008
Last updated
May 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 03669 NH Primary

Addresses

Primary practice location

182 Rockingham Rd
# 13
Londonderry, NH 03053-2165

Mailing address

182 Rockingham Rd
# 13
Londonderry, NH 03053-2165
Phone (603) 437-8204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107002705 NH Order and Referring Only - DentistPractitioner - Dentist 6800198805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03669NHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Miles of Smiles PLLC PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1487803300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 ROCKINGHAM RD",
            "address_2": "# 13",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030532165",
            "telephone_number": "603-437-8204",
            "fax_number": "603-432-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 ROCKINGHAM RD",
            "address_2": "# 13",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030532165",
            "telephone_number": "603-437-8204",
            "fax_number": "603-432-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAAN",
        "first_name": "MUHENAD",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "03669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.